How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $67.61 Median $1,174.90 Typical High $2,454.71 | Facility | None | $67.61 | $1,174.90 | $2,454.71 |
Aetna Setting Professional Modifier None Typical Low $64.57 Median $81.28 Typical High $104.71 | Professional | None | $64.57 | $81.28 | $104.71 |
BCBS Arkansas Setting Facility Modifier None Typical Low $53.70 Median $181.97 Typical High $245.47 | Facility | None | $53.70 | $181.97 | $245.47 |
BCBS Arkansas Setting Professional Modifier None Typical Low $57.54 Median $75.86 Typical High $120.23 | Professional | None | $57.54 | $75.86 | $120.23 |
Cigna Setting Facility Modifier None Typical Low $46.77 Median $54.95 Typical High $512.86 | Facility | None | $46.77 | $54.95 | $512.86 |
Cigna Setting Professional Modifier None Typical Low $67.61 Median $102.33 Typical High $151.36 | Professional | None | $67.61 | $102.33 | $151.36 |
United Setting Facility Modifier None Typical Low $79.43 Median $131.83 Typical High $707.95 | Facility | None | $79.43 | $131.83 | $707.95 |
United Setting Professional Modifier None Typical Low $54.95 Median $85.11 Typical High $151.36 | Professional | None | $54.95 | $85.11 | $151.36 |
5 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $33.88 Median $40.74 Typical High $48.98 | Professional | 52 · Reduced service | $33.88 | $40.74 | $48.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.49 Median $16.22 Typical High $19.50 | Professional | 53 · Discontinued | $13.49 | $16.22 | $19.50 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $51.29 Median $60.26 Typical High $74.13 | Professional | 54 · Surgery only | $51.29 | $60.26 | $74.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.23 Median $12.02 Typical High $14.79 | Professional | 55 · Aftercare only | $10.23 | $12.02 | $14.79 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.76 Median $8.13 Typical High $9.77 | Professional | 56 · Pre-op care only | $6.76 | $8.13 | $9.77 |
Where Arkansas sits
The same service costs 3.1 times more in Wisconsin than in Washington, DC. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Arkansas· 32nd of 51
$97.72
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.